Epstein-Barr Virus-Induced Polymorphic Nodal Lymphoproliferative Disorder Presenting as Recurrent Fever and Scrotal Swelling: A Case Report and Review of Literature

Krishna Joshi, Kevin Kuriakose, Rahul Ravilla, Yogita Rochlani, Anwar Rjoop, Daisy Alapat, AppalaNaidu Sasapu

Abstract


Epstein-Barr virus (EBV) has been associated with the development of lymphoproliferative disorders (LPDs). Adults rarely develop systemic EBV-positive LPDs. We report a case of EBV-associated LPD presenting as recurrent scrotal swelling and fever for over nearly 30 years in an immunocompetent adult. A 64-year-old Caucasian male presented with generalized weakness, myalgia and fever associated with scrotal swelling and bilateral groin pain. He reported that these symptoms have recurred yearly for the past 30 years, lasting 1 - 2 days each. Systemic examination was normal except genital exam positive for scrotal swelling without tenderness and bilateral tender inguinal lymphadenopathy. Computed tomography (CT) scan of chest, abdomen and pelvis showed bilateral lymphadenopathy along external iliac chains and groins. Histopathological examination showed EBV-associated LPD and patient was started on rituximab. EBV is known to persist as a lifelong low-level infection in memory B cells of normal healthy carriers. Our patients disease course over three decades is likely secondary to this property, in the setting of an intact immune system.




J Med Cases. 2016;7(8):354-357
doi: https://doi.org/10.14740/jmc2579w

Keywords


Epstein-Barr virus; Lymphoproliferative disorder; Lymphadenopathy; Fever

Full Text: HTML PDF
 

Browse  Journals  

 

Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics

 

World Journal of Oncology

Gastroenterology Research

Journal of Hematology

 

Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity

 

Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research

 

Journal of Neurology Research

International Journal of Clinical Pediatrics

 

 
       
 

Journal of Medical Cases, monthly, ISSN 1923-4155 (print), 1923-4163 (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)


This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website: www.journalmc.org   editorial contact: editor@journalmc.org    elmer.editorial@hotmail.com
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.


Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.